Friedman, Thomas G

Friedman, Thomas G is an individual health care provider with primary practice located at 1047 Thorndale Ave , Waterloo IA 50701. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Friedman, Thomas G can be contacted via phone (319) 223-5016.

Contact Information

Primary practice address
1047 Thorndale Ave Waterloo IA 50701
Phone: (319) 223-5016
Fax: (319) 232-4799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 06537 Iowa

Profile Details

NPI number 1700977691
LBN Legal business name Friedman, Thomas G
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700977691 NPPES
Iowa MEDICAID 0002949

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